AgelessRx review
By Nora Vance · Updated October 2026
Two formats, intro pricing
AgelessRx sells sermorelin as an injection ($149 a month after a $99 first month) or a nasal spray ($199 a month after a $149 first month), with HSA/FSA payment and free shipping.
Our verdict
AgelessRx is a polished longevity telehealth service with two sermorelin formats and a hands-on care team. Just budget for the ongoing price, not the headline. Both formats advertise a discounted first month, and the injection's $99 needs a three-month plan.
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At a glance
- Category
- sermorelin injections
- Format
- Injection · Nasal spray
- From
- $149/mo injection · $199/mo nasal
- Prescription
- Required
- Compounded
- Yes — not FDA-approved
What it is
AgelessRx is a Michigan-based telehealth company built around healthy aging. Its catalog runs to more than 40 plans, including metformin, low-dose naltrexone, NAD+, GLP-1 drugs and B12. Sermorelin comes in two forms, each with its own page and price. The injection is a small shot under the skin, given one to three times a week on a schedule your provider sets. The nasal spray is the needle-free option, aimed at sleep, focus and recovery, and is typically used five nights a week. AgelessRx doesn't sell sermorelin tablets. Both formats need a prescription from one of its US-licensed clinicians, and both are compounded by a US-licensed pharmacy.
How it works
You start with an online assessment, then connect with one of AgelessRx's in-house clinicians. There's no in-person visit. If you're approved, a LegitScript-certified partner pharmacy compounds the medication and ships it discreetly to your door. After that, the care is ongoing. You get unlimited messaging, unlimited dose adjustments and regular check-ins with your provider, plus easy refills. AgelessRx suggests taking either format at night, since the body releases most growth hormone during sleep. The injection can be taken with or without food. The nasal spray should go in on an empty stomach, at least two hours after your last meal. Some shipments come with cold packs and some don't, depending on the pharmacy. The company says a warm arrival doesn't necessarily mean the medication is spoiled, and asks you to contact it if a package arrives damaged.
Pricing transparency
The injection is advertised from $99 a month, but read the small print. The $99 is your first month on a three-month plan billed in full, and the price becomes $149 a month after that. AgelessRx says monthly plans exist too, but it doesn't publish a separate monthly rate. The nasal spray is advertised at $149, which is its first month with $50 off. It then costs $199 a month on flexible monthly plans. Shipping is free on both, and you can pay with an HSA or FSA card. Both products are subscriptions you can pause or cancel at any time. For a year on the injection, plan on $149 a month, less the one-time $50 saving in month one.
Branded vs compounded
Sermorelin isn't sold as an FDA-approved drug in the US, so both AgelessRx formats are compounded preparations. AgelessRx says so on each page, and adds that the FDA hasn't reviewed compounded products for safety, effectiveness or quality. It says its pharmacies test for purity above 98%, potency that matches the label and sterility to USP standards, but it doesn't name the pharmacy. Neither page states a dose or vial size, since the clinician sets your protocol. For the injection, AgelessRx lists pain, redness or irritation where you inject, face or neck flushing, headache and nausea, and says these usually fade within a week or two. Typical nasal spray side effects include post-nasal drip, a burning feeling when spraying, congestion, flushing, headache and nausea. Don't use either if you are pregnant, breastfeeding or planning to be. AgelessRx itself says the injection has the longer track record in published research. On timing, it says some people notice early changes in four to six weeks, with bigger changes over three to six months, and that results aren't guaranteed.
Pros and watch-outs
What we like
- Injection and nasal spray, each priced separately
- Unlimited messaging and dose adjustments included
- HSA and FSA cards accepted
- Free, discreet shipping on both formats
- Pause or cancel anytime
- Needle-free nasal option
Watch-outs
- Headline prices are discounted first months
- $99 injection price requires a three-month plan
- No monthly injection rate published
- Nasal spray costs $50 more a month
- No dose or pharmacy named on the page
Best for
Shoppers who want an established longevity clinic with ongoing clinician contact, and who'd like the choice of a needle-free nasal spray. It suits people who will stay on sermorelin for a while and can budget for the ongoing rate.
Who should look elsewhere
Anyone who chooses on the headline price alone. After the first month, the injection is $149 and the nasal spray is $199. It's also not the place for a month-to-month injection plan with a published price, because AgelessRx doesn't post one.
The evidence behind what AgelessRx prescribes
We grade the molecules, not the marketing. Here is what the human data actually shows for each thing on their menu.
- Is Sermorelin FDA-Approved? The Real Answer
Sermorelin was FDA-approved once, under a different name, and that approval is gone. What is sold today is compounded — which is legal, but not the same thing as approved.
- Sermorelin Dosage Chart: mcg, mL and Units vs. the Trial Dose
A mcg-to-mL-to-units chart with the math shown, the doses sermorelin trials actually used, how they compare to what sellers market, and why nobody has tested a “bodybuilding dose” in a controlled study.
How AgelessRx compares
A few alternatives worth a look, depending on what you’re optimizing for.
EdenComparing formats inside one seller
See Eden →- Luvo Health
A published price on the format you came for
See Luvo Health → - Embody
A published price on the format you came for
See Embody →
More sermorelin injection sellers reviews: MangoRxPeterMDMaximusOakBodybuilding Health+Sunlight
Reviews & prices
How we assessed this. This review reflects Sermorelin Picks’s own read of AgelessRx’s publicly-stated model — pricing transparency, clinical oversight, medication clarity, and access — against our editorial methodology. We publish no fabricated ratings or first-hand outcomes. A partnership never changes the assessment — see how we make money.
Frequently asked
- How much does sermorelin cost at AgelessRx?
- The injection is $149 a month after a $99 first month, and that first-month price applies to a three-month plan billed in full. The nasal spray is $199 a month after a $149 first month. Shipping is free on both.
- Is the $99 price the real monthly cost?
- No. AgelessRx's own fine print says $99 is the first month of a three-month injection plan, then $149 a month. Budget for $149.
- Do I need a prescription?
- Yes. You complete an online assessment and connect with an AgelessRx clinician, who decides whether sermorelin is appropriate. Everything happens online, with no office visit.
- Can I use my HSA or FSA, and can I cancel?
- Yes to both. AgelessRx accepts HSA and FSA payment for sermorelin, and both formats are subscriptions you can pause or cancel at any time.
- Which is better, the injection or the nasal spray?
- It depends on whether you mind needles. The injection is the less expensive option at AgelessRx and the format most published sermorelin research used. The nasal spray avoids needles and costs $199 a month ongoing.
- How often do you take sermorelin from AgelessRx?
- You give yourself the injection one to three times a week, following a schedule your provider sets. The nasal spray is usually taken five nights a week on an empty stomach. Your clinician gives you the exact dose.